I am going to offer a contrary position than most. Although fit in the town that surrounds you is a material consideration, I would still think seriously about Texas Tech. Unless money is not a factor, $40,000 per year and $160,000 in total will have a material affect on your financial freedom after medical school. In addition, you are likely to be extremely busy in medical school, rather than spending time out on the town. Plus, the cohort that you’ll likely interact with is unlikely to share an “own the libs“ mentality that you described. In fact, you may find yourself forming a bond with the other students as you go through the experience of living in Lubbock together. Also, you will enjoy the P/F curriculum (and will not have to stress and compete with others) while you get your bearings. Either way you go, you’re in for an incredible journey. I wish you good luck, future doctor.